The effectiveness of the combination of lenvatinib and everolimus in metastatic renal cell carcinoma in patients with resistance to targeted treatment in real clinical practice

R. Rakhimov, A. V. Sultanbaev, K. Menshikov, A. Nasretdinov, S. Musin, O. Lipatov, V. A. Suravatkin
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Abstract

Every year, 400,000 new cases of renal cell carcinoma (RCC) and 175,000 deaths are registered worldwide. Currently available advanced treatments for RCC have less toxicity than previously used therapeutic agents, but drug resistance remains a clinically significant problem. Drug resistance occurs as a result of angiogenic transition through activation of pathways that do not depend on VEGF targets of most first-line treatments. Lenvatinib with everolimus can fight resistance to increase both progression-free survival and overall survival in patients with metastatic RCC according to clinical studies.
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在实际临床实践中,来伐替尼和依维莫司联合治疗靶向治疗耐药的转移性肾细胞癌患者的有效性
全世界每年新增肾细胞癌(RCC)病例 40 万例,死亡病例 17.5 万例。与以前使用的治疗药物相比,目前可用的 RCC 先进疗法毒性较小,但耐药性仍然是一个严重的临床问题。耐药性的产生是由于血管生成转换途径被激活,而大多数一线治疗方法并不依赖于血管内皮生长因子靶点。根据临床研究,来伐替尼与依维莫司联合用药可以对抗耐药性,从而提高转移性RCC患者的无进展生存期和总生存期。
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